KellNY

Anyone know how long after passing NCLEX-RN it shows up on the on-line verification page? (this is for a friend in NY, if that matters) Also, can s/he apply for a job before receiving the hard copy of the license when the state has already provided him/her with a license #? (I got mine pretty quickly, I think 3 weeks or so for the actual paper license, but my friend is very eager to start working) Thanks

I'm also guessing you got her because if she was hyperemesis, chances are she was too early in her gestation to require fetal monitoring. I'm guessing that since you're PP, you are not trained in fetal monitoring--either placement or assessing the strip. Therefore, this may actually have been the most appropriate patient for you. And, uh, antepartum nurses don't take care of "those patients" all the time either! As a nurse PICC lines shouldn't scare you--you might end up seeing on in PP (for example if a mother required transfusions for placental previa or something) and so should be comfortable with it. They're really just like double headed PIV lines-you just have to brush up on P&P regarding dressings and flushes.

Why on earth would you take a homecare position 60 miles away?Unless you're talking about a hospital or LTC job, in which I've never heard of any nurses getting reimbursed for distance/per mile.

I kow of many nurses who couldn't give much of a crap about caring for people-they like the scientific part of it and/or the adrenaline rush, assisting in codes, the money/benefits/flexibility/stability, procedures, traveling, etc. There are lots of other reasons to go into nursing, and I'm surprised that you don't know that. If all you want is to "care for people" why not save a lot of time and money on school and be a CNA or Pt. care Tech, or volunteer or something?

Thank you for that. Not only is that post paranoid, but not evidenced based at all...and I thought we were all working towards that?

Not where I work, sometimes. But where I did my OB clinicals (community hospital) they did all the time. In fact, I did a few as a student nurse.

True, but technically a doctor doesn't have to "let" a pregnant woman do anything. A woman in the US could have refused an earlier c/s. Doing a c/s based on weight along probably would have resulted in prematurity in this case.

Where are you getting this information? According to North Carolina's website, The single digit numbers are the # of people per household. The dollar amounts are what the HOUSEHOLD recieves--and that's a maximum. That's a lot less than $236 per kid.Not to mention, when you sell your food stamps, you don't get dollar for dollar the amount their worth. You get around half, give or take 25%. And they're much harder to sell now that the FS are on an EBT card.

Shaggy, do you have any idea what a small percentage of your taxes actually goes towards Medicaid? You're not missing any time away from your family to pay for Medicaid, and if you think you are, you're either paid literally pennies an hour or are seriously misinformed. Consider it this way--medicaid and welfare funding have been slashed in the past decade. Have you seen even a minute drop in the amount of taxes withheld. Neither have I. My taxes are taken out to go to a war that I don't support. At all. Do you see me saying that soldiers should be gracious to me for paying their salaries, travel and education expenses? Cuz, ya know, I can't opt out of paying for that. This is the kind of stuff that makes me want to beat my head against the wall. A patient who receives medicaid doesn't owe you anything-thanks, appreciation, respect, anything. They aren't indebted to you. Many of these people have paid taxes at some point. If you were to become unable to support yourself or your family, you too would be entitled to health insurance. Careful you don't smack your head against your own clouded judgement when you fall off that pedestal.

I did a presentation for my son's school (2nd-4th graders) last year. I was nervous too, but we had a ball. We did it in 6 groups of about 40...with each group--didn't matter the age, sex, race, anything-the top questions for each group were "Did you ever save anyone's life?" and "Do you see a lot of blood/vomit/poop?" I also got a few sad stories, that were told in such an innocent way, it just about broke my heart "Ooh! Ooh! I know where you work! My grandfather went there last year, but his heart stopped and they couldn't save him and he died and now he's burried and we visit him sometimes" or "There was something wrong the baby in my mother's belly, and it didn't get to be born so I didn't get to be a big sister yet" I think I handled my responses to the questions and stories pretty well, but I think if I would have thought about it before hand, I could've done a better job. My point is-maybe start thinking about how to handle situations like that now.

OT, but that doesn't sound like straight talk...sounds pretty convoluted and biologically inacurate...:uhoh21:. It's not technnically possible, as the sperm would die in a cold, chlorinated environment. I get what she's trying to do, but in the end she's providing misinformation. Obiwarz-You might look into volunteering at a homeless shelter-maybe doing BP checks once a week/month or offering to teach a class (for example, on nutrition, smoking cessation, STD prevention, etc) at a homeless or DV shelter. That could be very rewarding. Although I could see a potential problem at a DV shelter...just brainstorming here...

Johnson&Johnson will mail you as many Nurse coloring books as you want, competely free of charge...Trying to think of the website.... Hmmm....You might not get it on time, but it's worth a shot. Edit: I found the site-- http://www.discovernursing.com/free-materials-promotional

Have you looked into a public health/free clinic? Most of them provide free or very low cost health care (I remember when I was in college but got denied for medicaid, I saw the doctor and got a sonogram for $8 out of pocket).

I'm a little confused by your question. As an employee, you could expect the same job duties as a female RN, and those would depend on what position you take. Generally, if you're working in the clinic, you'll be assisting with prenatal care and abortions, post anesthesia, etc. There will be patient education for sure. Locally, the Planned Parenthood here hires CMAs for their regular appointments (pregnancy tests, STD test and tx, IUD placement, paps--all the GYN stuff) and RNs only for OB and TOP. As a volunteer, they might have you "working" health fair booths, college and high school events, other community education, etc. You'd have to contact them to see what's available and the specific duties involved.

Something in there air then, eh? We recently had a few doozies, incl. one that required an emergency c/s. Yeesh. Never heard that doctor curse in front of a pt until that night. Baby came out floppy and blue.

Where I am CMA classes do not count for any college credits (unless the person got their degree from a community college, as opposed to the much more common vo-tech type of school). And yea, the vo-techs often lie and tell the students that the credits transfer.:angryfire

I would just bring it up casually. If they seem shocked at all, explain that you figured they knew, since you interviewed at 26wks. That's me

Calling a living, breathing baby a "miscarriage" doesn't seem right to me. Regardless of whether or not you agree with the measures taken, it's a person and I think that's disrespectful to the families of these children and to the children themselves. If you want to be specific, even if no interventions were initiated, and the baby died an hour after birth (or a minute, or a day), it would have been a neonatal loss, not a miscarriage. Because technically, if it's "alive" in the NICU, it's at the age of viability whether it "should" be or not. I work antepartum and many of our mothers have 1st, 2nd or 3rd trimester losses. Some women want everything done at 19weeks (despite having spoken with NICU who assured them that nothing could be done), some are comfortable letting nature take her course with a 25/26 weeker. The mother of the 19weeker...this was her 8th pregnancy. 1st baby hit by a car age 18mos, 6 (six!) losses, 4 of those being 2nd trimester losses. She had never made it past 16 weeks (aside from 1st baby). It's such a personal decision, and really I can't imagine that any of us can cluck our tongues until we've actually had to make it. And c-sections have little to do with maternal age. Look at doctor's fear of being sued in the event of a bad outcome, use of continuous EFM (which has been shown to increase c/s rates without improving fetal outcomes), the medicalization of a normal pregnancy, the refusal of many doctors to perform or attempt a VBAC, miseducation of patients, and over use of interventions/restrictions and you'll get a hint as to why the c/s rate is as insane as it is.

Jedi, I can assure you, it's not just a man thing! I hated hated hated bedmaking in NS, and have only done it in real life maybe 6 times. Where I work (nights) the CAs usually change the beds during days. And I think it's rediculous to change the bedsheets DAILY on someone who's not leaking/bleeding/sweating/pooping or otherwise soiling their sheets. Having said all that, as a student I found a real nice infected stage 2 bedsore that had gone unnoticed by the floor RNs. Sheets stunk to high hell too, and I wonder when it had last been changed. (i'm not trying to judge the floor rns there, but it was not a very busy unit)

Awesome!

Please....don't say those words....shudder....We have the opposite problem here. Family Med will call their induction 5cm/100%/0station. No problem right? Well, when they were 1cm/25%/-2 two hours ago, and they're a primip and they've had maybe 4 contractions that they didn't even feel.... :uhoh21: Or, they'll call up to check on Pt(they don't have the central monitoring, since they don't hang out on the OB floors) and we'll say "Yeah, she's a little uncomfortable, no stadol yet, ctx q5-7min, baby looks great." I get in response "Why didn't you call!?!? I'll be right up!". They rush up, huffing and puffing and panting...thinking the Pt is about to deliver. A primip. Who, 4 hours ago was C/L/H. Wha--?? Not to mention, we have to walk them through the whole admit orders. From what "admit labs" are (CBC/RPR/T&S) to what the fluid and rate should be. Whenever there's a family med pt here for cervidil, the nurses draw straws as to who has to take them, because they're so hard to deal with. And I'm sorry. It sounds like I'm bashing family med. Maybe I am. Some of them are really sweet people. But they add so much extra work for us, so much drama/stress for us and pt, etc. I'm gonna have nightmares about Family Med tonight, lol.

Lady or mama. Mama, usually for the Pt's I click with.

Just to step in (and hopefully not on thecommuter's toes), there's a difference between a pt being a bit cranky because of illness and a pt or family treating you like dirt/their maid/their figurative punching bag. Getting POed that I won't get them more ice water/juice/tissues/cups while I'm changing another Pt's IV. You want your daughters BP taken every hour when it's only ordered every 8? No, sorry, I can't do that. Why? Because aside from it not being medically indicated, I have 5 other patients to care for. Yelling at me for telling them their hubby can't sleep in the empty bed near the door, that we needed to keep it open and clean in case we were to get an admission. Getting chewed out at 2310 because "My medicine was due at TEN O'CLOCK! Don't think my doctor won't be hearing about this. I'm here for a reason, you know!". That medicine was an iron and a colace. i was busy giving another patient their heparin and procardia. My bad. I got reported for that one. Threatening me with physical violence for not validating their parking ticket. Dude, I don't even HAVE the validation stickers, and I'm not the one who made the rule that you have to pay to park in the garage. Throwing a salad at me after I ran downstairs to the kitchen to get it for you since dietary's already closed, because it has ham and you don't "do" pork. What did you think I meant when I asked if you had any dietary restrictions or preferences?? And that's from the patients and their families. Forget from admin, doctors, other nurses... I have to pay out of my pocket for parking, even though it's in a lot and there are NO other options (ie, can't park down the road and walk...there is no down the road, we're off a major highway). i NEVER get to leave the floor for my break except to run down to the deli for 5 min. My "break room" is the size of a bathroom...no fridge, no real lockers, no personal space, no changing room, have to share a bathroom with visitors (ew). For "nurses week" I got a gift card good for one meal (not to exceed $4, does not include salad bar, grill station or soft drinks) in the cafe...except ALL meals are over $4...and it expired in 2 weeks. In the whopping 3 times I've called out sick, I've gotten harassed for a doctors note, even though for one time I showed them the ER discharge summary from when my son ruptured his ear drum. Having new paperwork and protocols added on constantly, but not getting OT for the 45min late I have to stay to finish my work. I could go on and on. It's human nature to be grumpy when you feel like crud. And unfortunately it's some people's human nature to treat those helping them and their loved ones like poo. This is often daily. And to put up with this abuse, wanting to scream, only to see these stupid reminders from managment to work on out "people skills" and "Have you smiled at your Pt today?" posters. Arrggh!

I don't do curves because I don't agree with where the owner/ceo (whatever the business title is) donates some of the profits, so I wouldn't feel right having my money go there. BUT, I did a local prgram very similar for a short time with good results. Everything was personalized as much as it could have been (same machines, diff weights, reps, etc). Unfortunately, I had surgery and just never went back when I was all better, then I moved away. Maybe I'll look into finding another similar local program in my new neighborhood. God knows I could use it! (PS-the local ones are often cheaper, and you're supporting a small business not a corporation. I know that matters to some people) Yoga (with the right instructor) is AWESOME! Where I did it, they warmed the room (helped with warming the muscles) and made the lights very dim...actually they were off, with soft white christmas kinda lights around the border of the room, so people weren't self conscious. The instructor offered at least 2 variations of poses for different skill/flexibility levels, alternates for those with back/knee/neck issues. It was great. We every type of student-from a chubby 18 year old to a slim but stiff 64 year old, to a tattooed biker looking dude in his 40s.

I'm against drug testing for a number of reasons (I don't think it's anyones business if Nurse X took a vicodin last night for her bad back, for example). Me being afraid of getting nabbed is not one of them. I never said I was against drug testing when there was probably cause (missing meds, an employee acting impaired, etc). I think with revamping, I could possibly support some forms of drug testing. Just not the way they're done now.